1225477946 NPI number — SETX SLEEP MANAGEMENT LLC

Table of content: (NPI 1225477946)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225477946 NPI number — SETX SLEEP MANAGEMENT LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SETX SLEEP MANAGEMENT LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225477946
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/25/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2234 NEDERLAND AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORT NECHES
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77651-3926
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
409-722-5533
Provider Business Mailing Address Fax Number:
409-729-5534

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2600 HIGHWAY 365
Provider Second Line Business Practice Location Address:
SUITE E
Provider Business Practice Location Address City Name:
NEDERLAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77627-6237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
409-727-3612
Provider Business Practice Location Address Fax Number:
409-729-5534
Provider Enumeration Date:
06/15/2013

Additional Information

Authorized Official

Authorized Official Last Name:
VARGAS
Authorized Official First Name:
KATHY
Authorized Official Middle Name:
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
409-527-0327

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X , with the licence number:  H2527 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com